| NPI | 1396582565 |
|---|---|
| Former Legal Business Name | STUDIO DENTAL |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LAVENKA Owner Dentist 786-255-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-13 |