| NPI | 1265678155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSJANY MORA General Dentist 305-267-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL DN17506) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |