| NPI | 1972752830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY DEMERE President 561-802-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |