| NPI | 1275894586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY SHIPMAN Presideent 305-864-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL Dn5056) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-09-19 |