| NPI | 1205104809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURI GOLDVASSER President 561-775-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN16968) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |