| NPI | 1568081909 |
|---|---|
| Other Name | UNDER 21 |
| Entity Type | Organization |
| Authorized Contact | INGRID JOHANNA ROMERO Owner 954-718-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |