| NPI | 1851643415 |
|---|---|
| Doing Business As | MINI MOUTHS |
| Entity Type | Organization |
| Authorized Contact | ANDREW SEGELNICK Owner 954-609-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN15865) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |