| NPI | 1336158765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA ANN DRAIZIN Pres 954-647-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 6339) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-04-12 |