| NPI | 1982814687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO MAYORAL Owner 305-255-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN8555) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN11644) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-06-18 |