| NPI | 1689195828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ORTEGA Office Manager 305-557-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn13355) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2018-06-16 |