| NPI | 1508371808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN F MANCIA President 305-559-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN-10862) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-11 |