| NPI | 1790980415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CRUZ Chief Dental Director 561-999-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN6483) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2017-02-24 |