| 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 |