| NPI | 1942633185 |
|---|---|
| Doing Business As | AQUA DENTAL LOFT |
| Entity Type | Organization |
| Authorized Contact | JAMILY F PEDRO Owner 508-939-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 19518) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |