| NPI | 1396840252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN H WANDER President 954-962-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 4723) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |