| NPI | 1790388155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE LUIS LANDA Pediatric Dentist/Owner 954-436-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |