| NPI | 1730535345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO ROLDAN Owner 954-825-9128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15793) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |