| NPI | 1982771622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ESTELA MORA Owner 305-887-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 12758) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-07-16 |