| NPI | 1275878241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMERY ESTEVEZ Dir Contracting And Cred 786-262-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2023-05-25 |