| NPI | 1174605109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO CARIDAD BLANCO Dentist Owner 954-946-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN0013306) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |