| NPI | 1639502016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW COOPER Managing Member 561-702-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN18379) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |