| NPI | 1013452788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S HARRIS Doctor/Provider 561-204-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |