| 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 |