| NPI | 1043979040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANGELO SCIALABBA Chief Clincal Officer 561-512-2709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |