NPI | 1871170506 |
---|---|
Doing Business As | ADVANTAGE DENTAL ESTHETIC GROUP |
Entity Type | Organization |
Authorized Contact | YELENA JOSEFINA PRATO Owner/Dentist 954-384-7505 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
Additional Taxonomies | 122300000X Dentist |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2021-03-27 |
Last Update Date | 2022-03-06 |