| NPI | 1023380995 |
|---|---|
| Doing Business As | POMPANO BEACH FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIM WILSON Credentialing/Insurance 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2019-02-11 |