| NPI | 1083780084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA E RODRIGUEZ President 954-431-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN16833) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-10-18 |