| NPI | 1437510211 |
|---|---|
| Doing Business As | COCONUT GROVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SOFIA FONTECILLA President 786-353-0735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 20387) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |