| NPI | 1750117115 |
|---|---|
| Doing Business As | PROSTHDENT |
| Entity Type | Organization |
| Authorized Contact | RENE GONZALEZ-PANECA Prosthodontist/Owner 786-728-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |