| NPI | 1821333410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYANNE SALVADOR General Dentist 305-266-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn16439) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |