| NPI | 1225570963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA B TORRES BUSTILLO Vice President 305-387-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN 21582) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 21512) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |