| NPI | 1477819571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNY CACERES Manager 786-271-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN18755) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2013-05-28 |