| NPI | 1912325341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEL GONZALEZ President 305-649-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19852) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |