| NPI | 1770698086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL VICTORIA Owner 305-642-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn11724) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |