| NPI | 1184060642 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID ROY PEREZ Dentist/ Owner 954-533-9867 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN1211) | 
| Enumeration Date | 2013-05-10 | 
| Last Update Date | 2013-05-10 |