NPI | 1962658583 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR J. LANE President 305-933-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL 4125) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN16345) |
Enumeration Date | 2008-08-14 |
Last Update Date | 2008-08-14 |