NPI | 1073680161 |
---|---|
Former Legal Business Name | SOUTH FLORIDA DENTISTRY FOR CHILDREN & ORTHODONTICS, P.A. |
Entity Type | Organization |
Authorized Contact | JAMES G. BENNETT President/South Florida Dentistry 954-752-7651 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 15103) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 8277) |
1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN17768) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2017-04-21 |