| NPI | 1588943542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL LOPEZ President 305-271-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 17925) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |