| NPI | 1730469776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINALLY GARCIA President 954-972-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN17933) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2025-04-28 |