| NPI | 1033457312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIANE A JOHN Orthodontist 954-575-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 17809) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |