| NPI | 1235244583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRTHA AMADOR Doctor/Owner 305-569-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn13027) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL dn0013149) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2013-11-05 |