NPI | 1659527042 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMERY ESTEVEZ Dir Contracting And Credentialing 954-262-4343 |
Organization Subpart ? | Yes |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
Enumeration Date | 2008-08-18 |
Last Update Date | 2023-05-30 |