| NPI | 1457458978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GEORGE KALEEL President 561-736-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 9870) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |