NPI | 1538530985 |
---|---|
Entity Type | Organization |
Authorized Contact | JULI KAGAN Administrator 561-487-4440 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN9646) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN19496) |
122300000X Dentist (Licence: FL DN20158) | |
Enumeration Date | 2015-10-12 |
Last Update Date | 2015-10-12 |