NPI | 1093122343 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER MONTERO President 305-683-8995 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15053) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL dn14128) |
Enumeration Date | 2014-07-18 |
Last Update Date | 2014-07-18 |