| NPI | 1023666872 |
|---|---|
| Doing Business As | PEMBROKE PINES DENTAL |
| Entity Type | Organization |
| Authorized Contact | MILEIDIS PENA MARRERO President 954-436-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |