| NPI | 1043360621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA ELAINE KOERNER Office Manager 954-572-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN3078) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |