| NPI | 1790467157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOSCH Dentist 305-890-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0001X Dentist, Dental Public Health | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 1223X2210X Dentist, Orofacial Pain | |
| 1223P0300X Dentist, Periodontics | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |