| NPI | 1780920421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MENDEZ Owner 305-227-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13520) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |