| NPI | 1346739257 | 
|---|---|
| Doing Business As | DENTAL OFFICE | 
| Entity Type | Organization | 
| Authorized Contact | JEANNETTE JOE Office Manager 954-739-6464 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2018-05-07 | 
| Last Update Date | 2018-05-07 |