| NPI | 1447325113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER I WANG Co Owner 561-575-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN15761) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL DN14485) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |