| NPI | 1023565033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYDEE MONTERO Administration 305-829-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn15053) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |