| 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 |