| NPI | 1922685973 |
|---|---|
| Doing Business As | CORAL GABLES MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ANDRES CASTELLANOS Practice Owner 305-520-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |