| NPI | 1285924100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY M JOSEPH Manager 321-525-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25919) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |