| NPI | 1902439441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO RIZO Vicepresident 305-606-4291 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-06-02 |