| NPI | 1871609529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH FERNANDEZ Dentist 305-262-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16078) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-07-27 |