| 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 |