NPI | 1609162478 |
---|---|
Doing Business As | DENTIST/GENERAL PRACTICE |
Entity Type | Organization |
Authorized Contact | JUANA MARIA GELDRES Dentist/Owner 561-439-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16169) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2024-12-12 |