| NPI | 1174742647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE R COLELLA Dentist Owner 954-428-6923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0014724) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-06-20 |