NPI | 1013446301 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISABEL OLIVERA Dmd/Owner 954-727-9865 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18784) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-21 |