| NPI | 1366994592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELY CARIDAD PINERO FREDRICK Dentist 561-743-6700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN14108) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |