NPI | 1407614175 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE MENDIGUTIA MACHADO Dentist/Owner 305-564-1717 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-03-07 |