| NPI | 1134825052 |
|---|---|
| Doing Business As | THE GREEN DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO ALFONSO Owner 786-614-8927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |