| NPI | 1114283611 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF KENDALL |
| Entity Type | Organization |
| Authorized Contact | JUAN DIEGO CARDENAS Dentist Owner 305-271-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 181138) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 12829) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |