| NPI | 1528173622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN LAIRD Dds 561-627-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: FL 6915) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |