| NPI | 1962753608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO J AVES President/Oral Surgeon 813-885-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN18163) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |