| NPI | 1902143530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GANGI Office Manager 954-367-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN3884) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-23 |