| NPI | 1225316888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE DEAGUIRRE Dentist/President 305-446-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN0015008) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |