| NPI | 1003964040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA MARTINEZ Owner 305-559-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0013120) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-06-23 |