| NPI | 1770017162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAGNABALA PATEL Dentist/Owner 561-306-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0011665) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |