| NPI | 1063991040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA DEL CARMEN BATISTA President 786-389-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18983) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |