| NPI | 1366715716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA PIKE Pediatric Dentist 954-856-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN17596) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |