NPI | 1700404613 |
---|---|
Doing Business As | DENTAL AVENU |
Entity Type | Organization |
Authorized Contact | SANDRA SANDRA DIAZ President 786-703-4978 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-07-07 |
Last Update Date | 2023-12-08 |