NPI | 1992204531 |
---|---|
Doing Business As | GAMBOA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JANNET ELENA GAMBOA Dentist 305-477-7601 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN18622) |
Enumeration Date | 2018-02-09 |
Last Update Date | 2018-02-09 |