| NPI | 1730390998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL EDUARDO FERNANDEZ President 747-497-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2025-03-14 |