| NPI | 1437537727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY STTEPHANIE GRUBER Director Of Operations 954-417-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |