| NPI | 1114006434 |
|---|---|
| Former Legal Business Name | JUPITER INSTITUTE FOR PROSTHODONTICS & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROY C BLAKE Owner Manager 561-745-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN9551) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: FL DN16512) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |