| NPI | 1679981757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M BOBADILLA Owner 954-253-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: FL DN16956) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |