| NPI | 1477791853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ K PATEL VP 561-582-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15871) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN12943) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |