| NPI | 1417608662 |
|---|---|
| Doing Business As | DR. PATTY DENTAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | KATHIE COSENTINO COO 954-524-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |