| NPI | 1760255269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY J WAYNE Owner/Oral Surgeon 561-443-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |