| NPI | 1235205493 |
|---|---|
| Doing Business As | PORT OF MIAMI DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH KILSHTOK President 305-933-9634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL FLDN10774) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-11-09 |