| NPI | 1184058547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SASNETT President 809-798-8675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 1154) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |