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 |