NPI | 1902027683 |
---|---|
Entity Type | Organization |
Authorized Contact | ENRIQUE ACOSTA Pediatric Dentist 954-341-0002 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: FL DN17284) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2009-03-17 |