| NPI | 1174644686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA NIELSEN Dentist 561-683-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 13591) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |