NPI | 1952863169 |
---|---|
Doing Business As | TAMARAC FAMILY DENTAL & ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | WILLIAM MATHURIN President 954-742-5055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2019-04-05 |
Last Update Date | 2024-05-01 |