| NPI | 1891152633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA ALEXANDER President 407-779-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN18362) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |