| NPI | 1922122639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORALBA VUELTA Dentist 305-235-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL DN11392) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-06-17 |