| NPI | 1851973366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN RAMIREZ GONZALEZ Owner/Dentist 954-441-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |