| NPI | 1104968619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN CHARLES LEICHTER President 561-998-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL 7142) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |