| NPI | 1003171703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BASS Orthodontist 561-762-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 18630) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |