| NPI | 1114462496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER N. HATE Owner 386-756-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN15831) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |