| NPI | 1043607310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HIRSCH Pediatric Dentist 954-242-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 15983) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |