| NPI | 1871948794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIM R REVOREDO President 305-262-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20428) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |