| NPI | 1720171473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA ROSMANN Receptionist 954-476-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL dn10777) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |