| NPI | 1053728980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA M CASTILLO Manager 305-975-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20757) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-10-07 |