| NPI | 1144352048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDEBRANDO BARRETO President 954-979-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12654) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN13886) |
| 1223G0001X Dentist, General Practice (Licence: FL DN17684) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |