| NPI | 1427491471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE FIELD Owner 561-443-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn16163) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2015-06-15 |