NPI | 1043681836 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA MARRANZINI-GROSMAN Owner 954-236-3434 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN 15203) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL dn20826) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL d15664) | |
Enumeration Date | 2015-10-19 |
Last Update Date | 2015-10-19 |