| NPI | 1841703790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ANN SWEENEY Practice Administrator 954-753-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN19814) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: FL DN14279) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |