| 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 | 1223P0300X Dentist, Periodontics |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223E0200X Dentist, Endodontics | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2025-12-15 |