| NPI | 1700469103 |
|---|---|
| Former Legal Business Name | DEDICATED DENTAL LLC |
| Doing Business As | DEDICATED DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARTER M WALLER Part Owner Dentist 561-901-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |