| NPI | 1205377488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID EPELMAN DORRA Owner 786-488-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN18918) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-02-08 |