| NPI | 1942945340 |
|---|---|
| Doing Business As | BOCA KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DIANA J CAZZALY Regional Office Manager 702-456-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |