| NPI | 1649698796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NARVEL Front Office 772-335-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 18702) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |