| NPI | 1346798063 |
|---|---|
| Other Name | MIL-LAKE DENTAL AND EYE CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT G. VICTOME Owner 561-357-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN13708) |
| 152W00000X Optometrist | |
| 156FX1800X Technician/Technologist Optician | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-10-20 |