| NPI | 1255775649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST ORPHANOS Owner 561-477-7171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL Dn17283) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |