| NPI | 1063879641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAM HERNANDEZ President 786-378-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 21643) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |