NPI | 1215143425 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART H. ELKIN President 561-752-4050 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 14729) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |