| NPI | 1922755677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ELI VRACAR Co Owner 386-457-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-03 |