| NPI | 1831365204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SOLOMON MANDELL Owner/President 954-966-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN3803) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |