| NPI | 1841754603 |
|---|---|
| Doing Business As | BLOSSOM DENTAL AND FACIAL AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | HUDA ALJONAIDY Owner 954-684-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |