| NPI | 1609446632 |
|---|---|
| Doing Business As | 5TH AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW FORREST Periodontist/Owner 561-205-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |