| NPI | 1811377922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ADELSON Doctor 954-721-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL BA8454326) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |