| 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 |