| NPI | 1013476084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAILA ORTEGA Owner 305-389-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |