| NPI | 1689053845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO ENRIQUE LEON Co Owner 954-981-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0012238) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |