| NPI | 1891922746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINELLE MARIE TENDLER Managing Member 561-826-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: FL DN17665) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |