| NPI | 1528712189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL MATOUK Owner 954-566-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |