| NPI | 1093919813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN DEREK RING Owner Dentist 954-581-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15229) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |