| NPI | 1114581311 |
|---|---|
| Doing Business As | TEA TREE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOAQUIN CAMEJO General Dentist 305-457-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |