| NPI | 1720521669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R. WIERNICKI President 561-392-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12092) |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2017-03-19 |