| NPI | 1184204505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOAN CORTIZAS SARDINAS Owner/Dentist 786-303-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0300X Dentist Periodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |