| NPI | 1043439573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON DEVON TOMLINSON President 954-747-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |