| NPI | 1740756501 |
|---|---|
| Other Name | LAUDERDALE DENTISTRY FOR KIDS LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID TIJERINO President 786-637-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-11-16 |