| NPI | 1679410625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN XANTHOS Executive Director 954-262-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-06-29 |