| NPI | 1487669826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDA E COLON Office Manager 786-331-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN0011940) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN0012295) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-11-19 |