| NPI | 1508104597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON ALEXANDER Dentist/ Owner 954-463-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18817) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: FL DN16636) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |