| NPI | 1881954998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JOSEPH MONTICCIOLO Owner/Founder 727-422-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN014899) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |