| NPI | 1811372220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MOLINA President 305-632-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27850) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-11-23 |