| NPI | 1013125327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOEL KUSNICK President 954-741-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL D7442) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-01-15 |