| NPI | 1356725303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J MILLER Periodontist/ Owner 954-791-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 10117) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2016-03-16 |