| NPI | 1972689297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVYN E NATHANSON President 561-733-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 008234) |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2020-05-21 |