| NPI | 1942426978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LUCIANO CAPUTO Owner 727-789-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN0011227) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-03-27 |