| NPI | 1184004004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATOLY RIPA Owner 954-755-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |