| NPI | 1609508621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEL NAVARRETE Dentist 954-336-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |