| NPI | 1851554000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SHEPARD Manager 954-464-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 18328) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |