| NPI | 1578256699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DAVIS Director, Risk Transformation 786-441-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 125J00000X Dental Therapist |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 126900000X Dental Laboratory Technician | |
| 125K00000X Advanced Practice Dental Therapist | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |