| NPI | 1821198706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN BRODY Owner/President 305-652-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN10219) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |