| NPI | 1487204350 |
|---|---|
| Doing Business As | WESTSIDE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | UTTMA S DHAM Dentist Owner 954-476-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |