| NPI | 1821421827 |
|---|---|
| Doing Business As | WEST MAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | PRADEEPA MOVVA Owner 305-302-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010790) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-10-23 |