| NPI | 1306504212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HABASHY Owner/Dentist 561-254-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223P0300X Dentist, Periodontics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |