| NPI | 1629473913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYARDO CARLOS CORTES Owner/Provider 561-736-8755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN15894) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |