| NPI | 1891337556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA TOQUICA Pediatric Dentist/Owner 305-340-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |