| NPI | 1770777245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO K BRILLIANT Partner 305-933-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 9558) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2009-12-29 |