| NPI | 1154759041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL IGNACIO CRUCES Dentist, Director 772-380-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18716) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |