| NPI | 1376890673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY F. ELLIOT President 954-340-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN 11443) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2013-02-11 |