| NPI | 1386134500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENY FERNANDEZ Dentist Owner 786-873-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN20110) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |