| NPI | 1164647756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ALEGRE President 561-347-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 17158) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-02-24 |