| NPI | 1427190024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CHRISTOPHER PUSATERI Owner President 954-776-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN17494) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |