| NPI | 1841385838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO DEL RIO VP 305-266-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0011244) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN11796) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-04-17 |