NPI | 1285752493 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD BARATTA, DDS President 321-459-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 8467) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |