| NPI | 1104219344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BATES Dentist 561-427-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15804) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |