| NPI | 1568952638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEYDI P CARDENAS President 321-298-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN19952) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |