| NPI | 1629305750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALMES PEREZ President 305-506-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN:17928) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |