| NPI | 1225256761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART GEORGE MORAITIS President 954-524-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 6929) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |