| NPI | 1588812960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIQUE KONDRACKI Office Manager 954-983-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN1005) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |