| NPI | 1417976580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE KLEIN Owner/Provider 305-670-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 10087) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |