| NPI | 1336978147 |
|---|---|
| Doing Business As | GREAT WHITE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JULIO C. MARINO Managing Partner 786-683-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |