| 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 |