| NPI | 1013378157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRTA HECHAVARRIA President 786-580-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 13256) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |