| NPI | 1285047506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MUJEEB Owner 321-434-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19771) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |