| NPI | 1891128773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA MILAGROS RIVERA President/Owner 813-374-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN14483) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN19520) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |