| NPI | 1235427121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELMIS GONZALEZ Office Manager 954-733-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18594) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |