| NPI | 1538477633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA VANESSA RUIZ Pediatric Dentist Owner 786-417-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN17056) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |