NPI | 1184004004 |
---|---|
Entity Type | Organization |
Authorized Contact | ANATOLY RIPA Owner 954-755-3337 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2015-06-05 |
Last Update Date | 2015-06-05 |