| NPI | 1962803429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MATTHEW SCHACHT President 305-450-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 202231) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2024-10-11 |