| NPI | 1407114283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E THOME President/Dentist 954-644-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 9277) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2013-11-01 |