| NPI | 1740681709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUI HERNANDO OCHOA President 954-383-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN 17926) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |