| NPI | 1881984920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL PASTRANA President 954-232-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PR 2043) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-06-01 |