| NPI | 1265709554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN GONZALEZ President 305-903-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13222) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |