| NPI | 1932654035 |
|---|---|
| Doing Business As | YOUR DOWNTOWN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREA VILLAVICENCIO Credentialing Specialist 407-831-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15536) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN19047) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2019-08-23 |