| NPI | 1881053247 |
|---|---|
| Doing Business As | MY POMPANO DENTIST |
| Entity Type | Organization |
| Authorized Contact | JOSEPH THAYIL Owner 954-655-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18502) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |