| NPI | 1447707633 |
|---|---|
| Doing Business As | COLLEGE AVENUE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DAVID T MILLER Dentist/Owner 954-330-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME DENN 4261) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |