| NPI | 1336691260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SHAYAN Dentist 954-974-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19381) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |