| NPI | 1194205492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUISA Y CORRALES -IGLESIAS Office Manager 305-827-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17100) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |