| NPI | 1730226390 |
|---|---|
| Former Legal Business Name | RAY A. MAIWURM DDS |
| Entity Type | Organization |
| Authorized Contact | SUSAN BENNETT Office Mgr 561-626-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN6220) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |