NPI | 1184156200 |
---|---|
Former Legal Business Name | WHHITECAPSS DENTAL PA |
Entity Type | Organization |
Authorized Contact | MYRIAM BERRAHIL President 305-940-5157 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN16940) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-03-29 |