| NPI | 1487667804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CECILIA VERNE Dentist President 954-885-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN0012980) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |