NPI | 1972657385 |
---|---|
Entity Type | Organization |
Authorized Contact | CECIL ABRAHAM President 305-668-1811 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 9962) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2008-12-04 |