| NPI | 1558663906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUISA Y CORRALES-IGLESIAS President 305-625-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17100) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN17100) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |