| NPI | 1285346338 |
|---|---|
| Doing Business As | LASA DENTAL ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL MARTINEZ Dentist 786-385-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |