| NPI | 1861783623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA SANTOS Vice President 786-558-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 621210B88) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |