| NPI | 1164631438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY CARR Orthodontist President 561-626-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN0010003) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |