NPI | 1972545879 |
---|---|
Doing Business As | MCH TOOTHTOWN |
Entity Type | Organization |
Authorized Contact | MATTHEW A LOVE President & CEO 305-666-6511 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: FL 574498-3) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-09-15 |