| NPI | 1821361486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN K SMARINSKY Business Manager 561-966-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 7604) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: FL 17134) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-14 |