| NPI | 1811874589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JEANINE SANTIAGO TORRES Owner Dentist 954-668-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-08-16 |
| Last Update Date | 2025-08-20 |