NPI | 1053413831 |
---|---|
Other Name | FLAMINGO DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CHARLES IRVING SHOFNOS Presidnet 954-433-1888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN6140) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2020-08-22 |