| NPI | 1255410742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN R ELYSEE Director 954-561-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0014412) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-02-06 |