| NPI | 1962812016 |
|---|---|
| Other Name | GRAND HEALTH INSTITUTE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | A JABBARI Managing Employee 305-728-0505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |