NPI | 1134380629 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM A ANARDI Owner Operator 853-833-1070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 5815) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |