| NPI | 1710015300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK NORKIN Vice President 561-912-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN11979) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: DN14637) |
| 1223P0300X Dentist, Periodontics (Licence: FL DN21795) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2019-04-23 |