| NPI | 1104177344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHIE HARRIS Operations Manager 954-722-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17992) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |