| NPI | 1457578700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAUSEY C. LEE Owner 305-558-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN5224) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |