| NPI | 1073720645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JOSEFINA ALVAREZ President 305-444-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17638) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN11187) |
| 1223P0300X Dentist, Periodontics (Licence: FL DN12021) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN16376) | |
| 124Q00000X Dental Hygienist (Licence: FL DH16946) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-11-01 |