| NPI | 1669594255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO SANTIAGO Pediatric Dental Specialist 239-262-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL dn0013825) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-08-21 |