| NPI | 1619156064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD GOLDBERG President 954-752-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN17736) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |