| NPI | 1164964508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA EUGENIA YAZJI Orthodontist 954-217-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 14139) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2017-08-02 |