NPI | 1821354515 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN CRANE Dentist/ Owner 954-588-8943 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN16245) |
Enumeration Date | 2012-04-06 |
Last Update Date | 2012-04-06 |