NPI | 1073902045 |
---|---|
Entity Type | Organization |
Authorized Contact | FERNANDO GUTIERREZ Dentist 954-432-6222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 122300000X Dentist |
124Q00000X Dental Hygienist | |
Enumeration Date | 2015-01-14 |
Last Update Date | 2015-01-14 |