| NPI | 1053888586 |
|---|---|
| Former Legal Business Name | DR J DENTAL AND ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TATIANA JAMIS Vicepresident 786-709-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |