| NPI | 1477988442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L GOLDEN Clinical Director / Owner 786-355-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 2046) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2016-06-15 |