| NPI | 1053580027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO BETANCUR President 954-392-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 12267) |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care (Licence: FL 12267) |
| 261QP3300X Clinic/Center, Pain (Licence: FL 12267) | |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: FL 12267) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |