| NPI | 1487705646 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | BETHANNE T KLUGERMAN President 305-274-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN00009344) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2012-09-11 |