| NPI | 1043475437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART MICHAEL GOFF Dentist President 954-772-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN16553) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |