| NPI | 1083082713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA E STONE Owner 954-981-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 12214) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2016-04-04 |