| NPI | 1366816274 |
|---|---|
| Doing Business As | SOMI DENTAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | ARNALDO ANDRE LOPEZ Owner/Dentist 305-239-9273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL DN2649) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: FL DN20649) |
| 305S00000X Point of Service (Licence: FL DN20649) | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |