| NPI | 1619360583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARI SHAPIRO President 561-254-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN15490) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 15490) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2022-07-21 |