| NPI | 1770078248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON AVERILL President 561-405-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA DDS101899) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |