| NPI | 1558630301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANGELO SCIALABBA Chief Clinical Officer 561-512-2709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2021-06-21 |