| NPI | 1871247692 |
|---|---|
| Former Legal Business Name | GULFSTREAM PEDIATRIC DENTISTRY AND ORTHODONTICS LLC |
| Entity Type | Organization |
| Authorized Contact | SAYLIS ALEMAN Practice Administrator 561-797-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |