| NPI | 1821433111 |
|---|---|
| Doing Business As | INNOVATION DENTAL |
| Entity Type | Organization |
| Authorized Contact | YAJAIRA I TORRES Office Manager 954-227-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN19057) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |