| NPI | 1124534524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY C BARTLETT Owner 954-566-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL FL9540) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |