| NPI | 1972506681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE M FRIEDEL Owner/Dentist 954-389-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 7855) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 14261) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-09-05 |