| NPI | 1417348467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETELL M RODRIGUEZ Dentist 305-646-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN19927) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |