| NPI | 1164668547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABA MANZOOR RIZVI President 954-432-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN15321) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |