| NPI | 1013929165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENAD B. STEFANOVIC President 954-961-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN13982) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |