NPI | 1275852683 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ROY PEREZ President 954-639-7560 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12110) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2010-05-25 |