NPI | 1194953950 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIAS TOBON President 305-529-9295 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL dn14672) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2009-06-30 |