| NPI | 1316429780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENICK ANDREW CERULLO President, Dentist 561-767-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |