| NPI | 1114262680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN O PARRA Owner/Dentist 954-316-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16116) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |