| NPI | 1942336482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO ALFREDO GALEANO Direct Owner 813-985-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN13066) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2017-01-23 |