NPI | 1215108022 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD WILLIAM METZGAR Dentist/President 954-345-7592 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 1015) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2008-03-19 |