NPI | 1841735685 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACHARY KINGSBERG Owner 954-288-8582 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22329) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-09 |