| NPI | 1013272830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL DIAZ-NORRMAN Owner/Periodontist 305-227-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN11057) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN11852) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |