| 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 |