| NPI | 1437245529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CALDERON RANDAZZO Administrator 954-728-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-09-18 |