| NPI | 1235419573 |
|---|---|
| Doing Business As | SOUTH PALM DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARY HELEN S HABIB President 561-301-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN17961) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |