NPI | 1811912660 |
---|---|
Doing Business As | AG DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MARIO KENNETH GARCIA President/Dentist 305-667-0306 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn12696) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2015-05-27 |