| NPI | 1598614364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN XANTHOS Executive Director 954-262-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 124Q00000X Dental Hygienist | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-04-16 |