| NPI | 1699122788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HARRY NADEL Manager 786-525-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 50057867) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |