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 |