| NPI | 1649496126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAUSEY C. LEE Owner 954-493-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN5224) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |