| NPI | 1407207194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILSA H TOLEDO President/Owner 561-215-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |