NPI | 1053376178 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT BOWMAN President 561-684-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 7085) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2020-08-22 |