| NPI | 1477669091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN IVOR SCHWARTZ President 561-799-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN17313) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |