| NPI | 1063792927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP V PATEL Corp Officer 305-494-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN19247) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2020-10-07 |