| NPI | 1922489921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A BENNETT CEO 305-593-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0010709) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |