| NPI | 1912195033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MARIA REVUELTA Owner/Dentist 305-558-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12049) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |