| NPI | 1750473088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCOTT TAYLOR President 561-558-9467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN14087) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |