| NPI | 1093283582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH HOWARD KANER President 561-487-4545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |