| NPI | 1346629292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FILIBERTO J HERDOCIA President 786-401-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn11609) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |