| NPI | 1548635733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN V BERLIN President 561-642-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN11934) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |