| NPI | 1154402428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ANN KONDZIELA Office Manager 561-364-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN11296) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |