| NPI | 1205008729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GIANATASIO President 561-482-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN9852) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |