| NPI | 1881830941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON JAIME RUIZ President 954-432-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2023-10-16 |