| NPI | 1134354186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE SOROPOULOS Owner/ General Dentist 561-226-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN15874) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: FL DN6099) |
| 1223G0001X Dentist General Practice (Licence: FL DN8030) | |
| 1223P0300X Dentist Periodontics (Licence: FL DN17801) | |
| 1223P0300X Dentist Periodontics (Licence: FL DN16973) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |