| NPI | 1952113631 |
|---|---|
| Former Legal Business Name | CROWN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MANUEL GONZALEZ General Manager 305-512-4589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |