| NPI | 1134593296 |
|---|---|
| Doing Business As | PEMBROKE SQUARE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SANTANA Practice Manager 954-437-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |