| NPI | 1891037362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIKEL SEGUI Owner 954-752-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN16491) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |