| NPI | 1962859306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ELLIOT ROSENBAUM Owner/Dentist 954-981-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2022-11-01 |