| NPI | 1417348806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID JOHANNA ROMERO President 954-294-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19252) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |