| NPI | 1871960757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCESCO VULTAGGIO President 954-840-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN18316) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |