| NPI | 1801921671 |
|---|---|
| Former Legal Business Name | MIRILIS M RODRIGUEZ DDS CORP |
| Entity Type | Organization |
| Authorized Contact | MIRILIS M RODRIGUEZ Dentist 305-222-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16058) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-03-07 |