| NPI | 1942522073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO OLMOS Dentist 407-786-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16586) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |