NPI | 1063720795 |
---|---|
Doing Business As | PLANTATION PARK DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | PHILIP A PINE Owner/Dentist 954-791-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn10126) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2010-09-15 |