| NPI | 1639292840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE B PRIOR President 561-655-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN7395) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-02-07 |