| NPI | 1831467273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ASSEFF President 954-456-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 17067) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 3504) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |