| NPI | 1447576046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ZIADIE President 954-437-6855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12437) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN11649) |
| 1223P0300X Dentist, Periodontics (Licence: FL DN20249) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2014-03-03 |