| NPI | 1437460060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA SCHWARTZ Administrative Manager 561-965-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN0011362) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL BM9991313) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |