| NPI | 1386710408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN C DELZ Owner Dentist 954-782-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 5471) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-03-20 |