NPI | 1336698026 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRE GRENIER Doctor/Owner 954-473-1806 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN16730) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2016-09-23 |