| NPI | 1295150845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMONE E SMITH President 954-845-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN16488) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |