| NPI | 1174742555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO OTERO President 305-442-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 10814) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-11-30 |