My Favorite Dental Boutique LLC
NPI #1255182515 in Longwood, Florida
Provider Information
- NPI Number
- 1255182515
- Entity Type
- Organization
- Organization Name
- My Favorite Dental Boutique LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 27, 2024
- Last Updated
- Mar 27, 2024
Practice Location
Authorized Official
- Name
- PAULA GRISALES CANO
- Title
- OWNER
- Phone
- (407) 274-4744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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