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 |