| NPI | 1316317530 |
|---|---|
| Doing Business As | PINECREST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAIDY COSTOYA Managing Member/ Owner 305-235-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN17603) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-05-24 |