| NPI | 1306202916 |
|---|---|
| Doing Business As | BGR DENTAL |
| Entity Type | Organization |
| Authorized Contact | GILBERTO HERRERA Manager 561-312-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19392) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN19160) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |