| NPI | 1477837011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKEPEACE CHARLES Oral Surgeon 561-622-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2016-07-25 |