| NPI | 1063662641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL A VIDAL President 786-223-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14960) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |