| NPI | 1023137429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL COREY Director 954-885-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16888) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |