| NPI | 1174916050 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALYSSA HILLMAN PINNOCK President 954-294-2363 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN17610) | 
| Enumeration Date | 2015-03-16 | 
| Last Update Date | 2015-03-16 |