| NPI | 1154608370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYARDO C CORTES Owner/Dentist 305-698-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN15894) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |