| NPI | 1972877215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA MARTINEZ Officer 305-242-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14911) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |