NPI | 1669743761 |
---|---|
Doing Business As | DENTALADVANTAGE ADMINISTRATION |
Entity Type | Organization |
Authorized Contact | REYNA LACAYO Office Manager 305-642-0003 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 19356) |
Enumeration Date | 2012-01-20 |
Last Update Date | 2012-01-20 |