NPI | 1922197508 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J. VALLILLO Doctor 407-425-4901 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 5359) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |