| NPI | 1265780704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L BLANCO President 305-262-4604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 16115) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2021-11-17 |