| NPI | 1619362209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GONZALEZ TEMPLETON Pediatric Dentist 954-983-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-09 |