| NPI | 1659736726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD FETNER Dentist 305-558-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2023-07-05 |