| NPI | 1497126817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CECILIA CROSBY President 954-544-2814 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |