| 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 |