| NPI | 1477894079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDY AUGUSTO GUERRA President 305-424-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN18253) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN18777) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |