| NPI | 1124441035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEL O. DE ANNA President 305-222-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN7784) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |