| NPI | 1730241654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL MATOUK Oral Surgeon 954-566-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN15692) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-02-28 |