| NPI | 1710405352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAGNABALA K PATEL President 561-306-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn0011665) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |