| NPI | 1245654730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO LEA PLAZA Owner/Dentist 786-266-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN20264) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN19240) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-03-13 |