| NPI | 1497177182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATE E MANNS Manager 305-231-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20289) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |