| 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 |