| NPI | 1700960184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE YANG President 561-333-4568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN15521) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-07-26 |