| NPI | 1326342957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY GORBATOV Owner 954-342-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn15160) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |