| NPI | 1609036037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON A PEREZ President 954-693-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN16203) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2024-07-29 |