| NPI | 1912038423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SPIEGEL Periodontist 954-829-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN11372) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |