| NPI | 1194853432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KOTKIS Owner 954-989-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN5867) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |