NPI | 1134014087 |
---|---|
Doing Business As | DENTAL HAVEN |
Entity Type | Organization |
Authorized Contact | ISARELYS LAZO QUINTANA Dentist 786-897-4878 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-06-11 |
Last Update Date | 2025-06-11 |