| NPI | 1740779735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIRA MOUSHATI Owner/Manager 954-564-3244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: FL DN13133) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |