| NPI | 1104074004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CRUZ Chief Dental Director 561-999-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN6483) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2017-03-17 |