| NPI | 1669885752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANE DIEUDONNE Owner/Orthodontist 305-388-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN16155) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |