| NPI | 1992152300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN A. GARCIA-PAUL Manager 305-407-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 19515) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |