| NPI | 1346702917 |
|---|---|
| Doing Business As | FG FAMILY AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YARIELA FLEITAS PERDOMO Dmd 786-370-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2020-01-14 |