| NPI | 1811201460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO A COLINA Office Manager 305-649-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 13211) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |