| NPI | 1053652941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ROSA BRENER President 954-441-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18599) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2013-03-03 |