| NPI | 1750705828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE NOVARA Director 305-960-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN19442) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |