| NPI | 1194050690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENAS ALKHADRA Owner 561-212-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN16650) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2010-06-29 |