NPI | 1417618463 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE KAUFFMAN Office Manager 772-337-4798 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2022-01-03 |
Last Update Date | 2022-01-03 |