| NPI | 1568613966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEL O DE ANNA President 305-222-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 7784) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |