| NPI | 1073329439 | 
|---|---|
| Doing Business As | INNOVATIVE ENDODONTICS, PA | 
| Entity Type | Organization | 
| Authorized Contact | JUAN CARLOS ANGUITA President 305-761-3209  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2024-12-10 | 
| Last Update Date | 2024-12-10 |