| NPI | 1336698026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE GRENIER Doctor/Owner 954-473-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN16730) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |