| NPI | 1922250703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND ANTHONY HERNANDEZ President 954-356-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN16358) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2021-04-22 |