| NPI | 1568596989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGIV I PATEL President 321-254-4613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0013781) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-12-16 |