NPI | 1063816122 |
---|---|
Doing Business As | AMERICAN PEDIATRIC DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | WILLIAM ANTONIO PENA President 305-407-2134 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN17608) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2014-10-20 |