| NPI | 1467939991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA ISABEL LOPEZ President 305-558-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18623) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |