| NPI | 1538184148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANHAL YAZJI Dental Director 772-785-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN11753) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |