| NPI | 1942509229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC L ANDERSON Owner 561-317-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16898) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |