NPI | 1003113655 |
---|---|
Entity Type | Organization |
Authorized Contact | SALOMON ISRAEL Owner 772-569-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN0013953) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2016-10-26 |