| NPI | 1003046350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MABELLA MONTESINO President 305-820-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12756) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |