NPI | 1750831921 |
---|---|
Entity Type | Organization |
Authorized Contact | RICARDO CHANG Owner 954-210-7994 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-11 |