| NPI | 1194264903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALY M ARBOLEDA Manager 954-907-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-04-18 |