| NPI | 1720147382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT JUSTIN JARRETT Owner 954-979-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 15297) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |