NPI | 1386665362 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD L BALICK President/Owner 954-966-1166 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 9535) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |