| NPI | 1417289703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONIA BAKER President 305-866-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn16129) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |