NPI | 1528277027 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC A. MINCH President 561-732-1777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16027) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |