| NPI | 1710141924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA B LURIE President 561-819-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 15042) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |