| NPI | 1225145261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS DIAZ President 954-659-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN0013293) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |