NPI | 1750861456 |
---|---|
Doing Business As | DENTISTRY OF MIAMI |
Entity Type | Organization |
Authorized Contact | CASSANDRA PETERSEN Credentialing Team Lead 217-540-8972 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-08-21 |
Last Update Date | 2018-08-21 |