| NPI | 1154105393 |
|---|---|
| Other Name | V&G COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ORLANDO DIAZ VALLE Dentist 786-754-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |