| NPI | 1588781314 |
|---|---|
| Doing Business As | CORAL RIDGE DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | HEATHER PRUEMER Credentialing Supervisor 217-540-8434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0011299) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2017-02-07 |