| NPI | 1669012092 |
|---|---|
| Former Legal Business Name | DENTAL GROUP- OF SOUTH FLORIDA |
| Entity Type | Organization |
| Authorized Contact | MAILEN PEREZ Owner 305-388-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |