| NPI | 1235444191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LOZANO President 305-804-9074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN17503) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |