| NPI | 1427313881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA TSAR Owner 561-833-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16455) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: FL DN16466) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |