NPI | 1366835860 |
---|---|
Doing Business As | SUPERIOR DENTAL TEAM INC |
Entity Type | Organization |
Authorized Contact | PEDRO LLEO Dentist 786-360-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2015-03-09 |
Last Update Date | 2022-07-21 |