| NPI | 1194973578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE I QUEIJA President 954-796-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN12459) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |