| NPI | 1346087533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILENA IOME DE LA PROVIDENCIA GASCON Owner/Dentist 305-951-2927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-13 |