| NPI | 1841579257 |
|---|---|
| Doing Business As | POLO DENTAL |
| Entity Type | Organization |
| Authorized Contact | SIMON LEIZGOLD VP 561-241-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL dn164481) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2020-09-03 |