| NPI | 1962769810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURI GOLDVASSER Partner 561-775-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16980) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN16968) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2021-05-12 |