| NPI | 1720179195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN RODRIGUEZ Dentista 305-823-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17094) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN11884) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN12879) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |