| NPI | 1174931208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSSUE ALFONSO President 305-642-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19316) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |