| NPI | 1295000339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM BRAZDO President 321-243-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18392) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |