| NPI | 1851492797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA MARINA LOPEZ President 305-893-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14609) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-07-07 |