NPI | 1639183577 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL WERNER President 561-391-6066 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 7046) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2020-08-22 |