| NPI | 1508897679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE BYRON HARROUFF President 561-741-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN10761) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |