| NPI | 1609171339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE FAINE Office Manager 305-857-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN13965) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2012-04-24 |