| NPI | 1083121701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORAYA CONCEPCION Office Manager 954-217-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |