| NPI | 1114255015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL IGNACIO CRUCES Vice President Dentist 954-478-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18716) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |