| NPI | 1326186537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROBERT TEITELBAUM President 561-395-3453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: FL DN 7020) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-06-05 |