| NPI | 1194845743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOOI Office Manager 561-393-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 13200) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-09-02 |