| NPI | 1871012633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANY DIAZ General Dentist 786-406-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN21847) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |