| NPI | 1598286387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERSON M PECORA President 321-725-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN13729) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |