| NPI | 1861605610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA WOOLDRIDGE Owner 305-868-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN13240) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |