| NPI | 1295974293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S. OLLER CEO / Clinical Operations 954-262-4343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |