| NPI | 1619213105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD SANTELLI Orthodontist 561-866-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN17283) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |