| NPI | 1124355037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE SCOTLAND Office Manager 561-622-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN17793) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2011-07-15 |