| NPI | 1043426018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE CARR Orthodontist Secretary 561-626-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN0013320) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-10-14 |