NPI | 1023417193 |
---|---|
Former Legal Business Name | NATHANIEL R. STALLER, D.D.S., P.A. |
Entity Type | Organization |
Authorized Contact | NATHANIEL RAYMOND STALLER President 561-637-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN7779) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |