| NPI | 1851842181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN GUTIERREZ General Dentist 305-885-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20998) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |