| NPI | 1861748402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R CLARKE President Broward County Dental Sur 954-562-9610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: FL DN5272) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-12-17 |