| NPI | 1255067336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FAINE Owner 305-661-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-01-10 |