| NPI | 1609291392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KRAKAUER President 305-688-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN9652) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |