| NPI | 1386175404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO ORDONEZ Dr 305-242-5777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL dn14911) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL dn20945) |
| 122300000X Dentist (Licence: FL DN20110) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |