| NPI | 1487989240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA AURORA ROLLAND-ASENSI President 305-445-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN21700) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN16434) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2016-10-11 |