| NPI | 1104270701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANCARLO BLAND Oral Surgeon 561-372-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL Dn16134) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |