| NPI | 1447947924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAWAZ SHIHADEH Pediatric Dentist/ Owner 561-716-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |