| NPI | 1740385566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M. FISHER President 561-276-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN 9603) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |