| NPI | 1306978234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIA OSPINA General Dentist 305-885-5390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN17493) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |