| 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 |