| NPI | 1629357694 |
|---|---|
| Former Legal Business Name | BISCAYNE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIO IRAHETA Dentist 305-945-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16637) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |