| NPI | 1851757512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER D TRUJILLO Owner 305-235-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16862) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |