NPI | 1114581311 |
---|---|
Doing Business As | TEA TREE DENTAL |
Entity Type | Organization |
Authorized Contact | JOAQUIN CAMEJO General Dentist 305-456-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-04-24 |
Last Update Date | 2025-03-06 |