| NPI | 1356873061 |
|---|---|
| Doing Business As | DENTAL BOOST PINES |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HARRISON JOY Vice President 305-281-6329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |