| NPI | 1588452312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEILYN HERNANDEZ Dentist/Owner 786-470-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |