| NPI | 1194157453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A ARGUMOSA Pediatric Dentist/Member 239-333-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |