| NPI | 1336551134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE JOSE GALLO Doctor 305-223-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 15973) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |