| NPI | 1023338597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TRANG VAN Owner 954-483-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18003) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |