| NPI | 1083946198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEIDY D. MARTINEZ Dentist 305-846-9082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN16347) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |