| NPI | 1922536853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS P CERILLO President/Dentist 813-971-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN11574) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |