| NPI | 1134784267 |
|---|---|
| Former Legal Business Name | PEDIATRIC DENTISTRY OF MIAMI LAKES |
| Entity Type | Organization |
| Authorized Contact | AURELIO ANTONIO BULA President 786-301-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |