| NPI | 1134537822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA QUESADA President 305-229-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 14574) |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2014-07-26 |