| NPI | 1255703260 |
|---|---|
| Former Legal Business Name | DR IRENIA MENDOZA DDS PA |
| Entity Type | Organization |
| Authorized Contact | IRENIA MENDOZA Owner/Dentist 786-717-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN18576) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |