| NPI | 1811371073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL IGNACIO CRUCES General Dentist 954-708-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18716) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |