| NPI | 1730523408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA DESIREE GONZALEZ President 786-360-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17868) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |