NPI | 1588913768 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE GOMEZ Provider Relations Specialist 305-274-2499 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-09-05 |
Last Update Date | 2014-08-04 |