| NPI | 1235359225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY A FALKE Secretary 561-276-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 6299) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |