| NPI | 1710087804 |
|---|---|
| Doing Business As | DENTAL HEALTH GROUP @ PORT ST LUCIE |
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN BRODY Owner/President 305-521-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10219) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |