| NPI | 1013050137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIRO BARRIENTOS Manager 305-485-8427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN 16661) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 17091) |
| 122300000X Dentist (Licence: FL DN 15053) | |
| 122300000X Dentist (Licence: FL DN 12879) | |
| 1223G0001X Dentist, General Practice (Licence: FL DN 17931) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-10-15 |