| NPI | 1295308211 |
|---|---|
| Former Legal Business Name | YOUR DENTAL LIFE |
| Entity Type | Organization |
| Authorized Contact | ILIEG OLIVA PEREZ Owner 305-223-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |