| NPI | 1578847760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL BRIAN STOCH President 561-627-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN8991) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |