NPI | 1396940011 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTONIO CRUZ Chief Dental Director 561-999-9650 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN6483) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2017-03-17 |