NPI | 1003965815 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE M LANDIS President 561-278-0062 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN5226) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-08-22 |