| NPI | 1174859896 |
|---|---|
| Doing Business As | DENTAL ASSOCIATES OF WEST KENDALL |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GOMEZ Provider Relations Specialist 305-274-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN5380) |
| 1223G0001X Dentist, General Practice | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2014-08-04 |