| NPI | 1386764660 |
|---|---|
| Doing Business As | JIMENA FERNANDEZ |
| Entity Type | Organization |
| Authorized Contact | JIMENA FERNANDEZ President 954-632-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16438) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2009-02-09 |