| NPI | 1629458583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAELLA CORREA-PINTO Dentist 954-785-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL dn19480) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: FL DN18323) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |