| NPI | 1316113996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN ORTEGA CABALLERO President/Owner 305-554-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0013301) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |