| NPI | 1659714095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDEEP R RAWAL President 321-452-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: FL DN17718) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |