| NPI | 1467542696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO MIRANDA-KNAPP President 386-428-2958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15720) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-07-21 |