NPI | 1700949682 |
---|---|
Doing Business As | REGENCY SQUARE DENTAL |
Entity Type | Organization |
Authorized Contact | REINOL ANTONIO GONZALEZ President 954-252-5911 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-12-19 |
Last Update Date | 2024-04-30 |