| 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 |