| NPI | 1811429855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C FLORES Owner 305-264-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 17732) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 17732) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |