| NPI | 1699190280 |
|---|---|
| Doing Business As | LAS OLAS CENTRE FOR ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JASON E PORTNOF Owner 954-983-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN16048) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2017-01-25 |