| NPI | 1326345539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE H SULTAN Owner 954-771-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |