| NPI | 1013526748 |
|---|---|
| Doing Business As | DENTAL TEAM OF JFK |
| Entity Type | Organization |
| Authorized Contact | ROBERT RODRIGUEZ CEO 772-204-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |