| NPI | 1770364762 |
|---|---|
| Doing Business As | BOCA KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHANA RIOS Billing Manager 702-522-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |