| NPI | 1780694901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE LEE ELKIND Owner 561-798-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 9426) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2015-01-26 |