| NPI | 1801488986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XINXING LIU Dentist 954-865-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-09-26 |