| NPI | 1013601681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA T GINART President 305-505-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |