| NPI | 1417103144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS J SABO President 786-517-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN17450) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NY 052722-1) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |