| NPI | 1881805257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE ACOSTA President 305-448-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN17284) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |