| NPI | 1437528536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA AYALA Dentist/Owner 305-442-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN19902) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |