| NPI | 1649617697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADILIA TRIFUNOVIC President 954-552-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18492) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |