| NPI | 1033357611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMERY ESTEVEZ Dir Contracting And Creden 954-262-4343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2023-05-25 |