| NPI | 1255460911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO DOMINGUEZ President 305-386-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 8001) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-10-25 |