| NPI | 1407224249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JOHANNA SANCHEZ President 561-713-6938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN21525) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |