| NPI | 1447405840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ERNESTO TURCIOS Secretary/Treasurer 305-984-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 3607) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: AR 3555) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |