| NPI | 1962610998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHASKER PATEL Owner Dentist 407-381-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn09473) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-05-10 |