NPI | 1144628868 |
---|---|
Entity Type | Organization |
Authorized Contact | PARISA NEMATI Owner 954-826-8785 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 15191) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MD 15167) |
Enumeration Date | 2014-12-11 |
Last Update Date | 2014-12-11 |