| NPI | 1649375254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B CUSHING Member 305-558-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: FL DN5112) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |