| NPI | 1740038926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS DA SILVA Dentist 754-203-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2024-06-09 |