| NPI | 1851772859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN BENNETT President 305-593-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN0010709) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DN0010709) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |