| NPI | 1861639494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO JOSE DUARTE President 305-251-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN15137) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2014-06-04 |