NPI | 1932346574 |
---|---|
Doing Business As | BLUTH FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | BARRY ADAM BLUTH Dentist 954-792-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL FL12656) |
Additional Taxonomies | 122300000X Dentist (Licence: FL FL2848) |
122300000X Dentist (Licence: FL FL15109) | |
1223P0300X Dentist, Periodontics (Licence: FL FL16973) | |
Enumeration Date | 2009-01-20 |
Last Update Date | 2009-01-20 |