NPI | 1558875096 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR RODRIGUEZ Dentist / Owner 786-953-6550 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN21843) |
Enumeration Date | 2017-11-20 |
Last Update Date | 2017-11-20 |