| NPI | 1841374279 |
|---|---|
| Other Name | PERIODONTOLOGY AND IMPLANTS OF PEMBROKE PINES |
| Entity Type | Organization |
| Authorized Contact | DENISE ANNE BRADY President/Owner 954-517-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN 14692) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |