| NPI | 1235433863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY GORBATOV Owner 561-721-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn15160) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |