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 |