| NPI | 1295029700 |
|---|---|
| Other Name | DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO CARRENO President 305-553-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN7219) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |