| NPI | 1396812921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRODY President 305-682-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN0013389) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |