| NPI | 1114509171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYAD SHEHADEH Director 954-399-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-09-25 |