SpecialtyPediatric Dentist
LocationHialeah, FL
NPI1699115048
License statusInactive
License number21093
License expires02/28/2026
Disciplinary recordClear
Last verified by WhoIsMyDentist: 2026-07-17. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 01/21/2016). If this looks outdated, use "Report an issue" on this profile to suggest a correction.