| NPI | 1417592247 |
|---|---|
| Doing Business As | DENTAL SPECIALISTS OF HOMESTEAD |
| Entity Type | Organization |
| Authorized Contact | IVAN PELTON Administrative Operator 305-530-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |