| NPI | 1568722932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ARTHUR ORTLIEB President 954-427-7513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13702) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN17012) |
| 1223G0001X Dentist, General Practice (Licence: FL DN9130) | |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2012-05-20 |