| NPI | 1326417551 |
|---|---|
| Doing Business As | PIMD |
| Entity Type | Organization |
| Authorized Contact | CHENET P. LAROSE Dentist 786-319-2474 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS027302L) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |