NPI | 1225773187 |
---|---|
Other Name | TATIANA H REINO AGSOTO DDS PA |
Doing Business As | TATIANA H REINO AGOSTO DDS PA |
Former Legal Business Name | TATIANA REINO AGOSTO |
Entity Type | Organization |
Authorized Contact | TATIANA H REINO AGOSTO General Dentist 786-685-5878 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2022-05-04 |
Last Update Date | 2022-05-04 |