| NPI | 1710236161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL G LOPEZ President 305-774-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12998) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |