NPI | 1841645249 |
---|---|
Entity Type | Organization |
Authorized Contact | SETH D. POMERANTZ Owner 954-726-4511 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: FL 14357) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL 17459) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 11264) | |
Enumeration Date | 2016-05-04 |
Last Update Date | 2016-05-04 |