| 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 |