| NPI | 1962501411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L RAMIREZ President 3055-665-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN0014136) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |