| NPI | 1659770592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED PEDROLETTI President/Owner 954-790-3130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL Dn17712) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2021-05-04 |