| NPI | 1952687824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE WOMELSDORFF Office Manager 561-296-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn14459) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2012-03-28 |