| NPI | 1346674967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L GOLDEN Clinical Director / Owner 954-588-4671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 2046) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2016-07-20 |