| NPI | 1558831990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARI SHAPIRO President 561-254-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |