| NPI | 1518196013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DENNIS BLUM President 305-538-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN5527) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |