| NPI | 1154168193 |
|---|---|
| Doing Business As | MY DENTIST OF FORT LAUDERDALE |
| Entity Type | Organization |
| Authorized Contact | ZELJKA LICINA Owner Dentist 954-408-9282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |