| NPI | 1467670919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL COLETTI Owner 954-327-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN14838) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |