| NPI | 1013165653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRADY President 954-587-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 14263) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |