| NPI | 1972609055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OFILIO J MORALES President 407-351-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN12934) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-01-02 |