| NPI | 1093269870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BOBADILLA Director 305-631-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn14173) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |