| NPI | 1740651512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA M PAZ Dentist 305-247-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 17927) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |