| NPI | 1306080387 |
|---|---|
| Doing Business As | FLORIDA GARDENS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MOLINA WASSERMAN Owner 561-968-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 13861) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 17422) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 17306) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |