NPI | 1629278809 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY M. VINER President 561-367-9922 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN12807) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2007-07-25 |