NPI | 1316163645 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL A MEDDOFF President 561-482-7008 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 6065) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |