| NPI | 1871466946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANGELO SCIALABBA Chief Clinical Officer 561-512-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |