NPI | 1629108238 |
---|---|
Entity Type | Organization |
Authorized Contact | LORNA SMITH President 305-300-7244 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN16812) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |