| NPI | 1457424269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ROBERT COHEN President 561-691-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN15122) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |