| NPI | 1366698953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A DEL CASTILLO Owner 305-556-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: FL DN10470) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: FL DN16708) |
| 1223P0300X Dentist Periodontics (Licence: FL DN16664) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |