| NPI | 1689911505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK MCCAIN President 305-595-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN7458) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN17712) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL ME99010) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |