| NPI | 1760437537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTO EMILIO FELIPE President 305-642-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15014) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |