| NPI | 1043998974 |
|---|---|
| Former Legal Business Name | MDR DENTAL CORP. |
| Entity Type | Organization |
| Authorized Contact | CARLOS E DIAZ Owner 786-669-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |