| NPI | 1245582600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA GRULLON CORTORREAL President 305-364-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN11432) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |