NPI | 1801304977 |
---|---|
Doing Business As | TRADITION DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MINA HARROUFF Secretary 561-401-5006 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-01-11 |
Last Update Date | 2018-01-11 |