Jamie John La Viola, D.M.D. Valid NPI
Individual provider · Dentist · Atlantis, FL
- NPI
- 1285722645
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN 17138 (FL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-11
- Last updated
- 2007-07-08
Practice location
115 John F Kennedy Dr, Suite B
Atlantis, FL 33462-1119
(561) 967-3513