| NPI | 1114608965 |
|---|---|
| Doing Business As | MAKEOVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | JORGE ENRIQUE MOSQUERA CASTRILLON Dentist 561-635-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |