| NPI | 1780198978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ALLEN Dentist 561-737-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14817) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-03-17 |