| NPI | 1063757912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK O CALDERON President 305-951-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 19377) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |