| NPI | 1154574309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JACQUELINE GALVEZ Managing Member 561-482-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 16165) |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2008-11-01 |