| NPI | 1447494315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS PAUL MARRECAU Owner 954-752-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2019-02-13 |