| NPI | 1861799652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M MILLER Owner 561-798-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN10350) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL DN10350) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2016-08-26 |