| NPI | 1912315284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ERIC RUDNICK Owner/Dentist 561-625-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN0014987) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |