| NPI | 1962851634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E CARBAJAL Office Manager 305-442-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11650) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |