| NPI | 1497221352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO CARIBAS Director 786-302-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |