| NPI | 1346847134 |
|---|---|
| Doing Business As | PINECREST DENTAL |
| Entity Type | Organization |
| Authorized Contact | JESSE MAYORAL Administrator 305-670-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-08 |