| NPI | 1205909678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLE T RITTER Dentist Office Manager 561-626-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN13868) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN15227) |
| 122300000X Dentist (Licence: FL DN13845) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |