| NPI | 1457415077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOUSHATI President 954-564-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0013133) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |