| NPI | 1366870404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO M. GRANDA Owner 305-412-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN10508) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |