| NPI | 1235777855 |
|---|---|
| Doing Business As | HOMESTEAD MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BUSTILLO Owner 786-410-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2022-05-11 |