| NPI | 1346465028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G LOMENZO Operations Manager 561-852-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-01-15 |