| NPI | 1972919132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST S ORPHANOS Managing Member 561-477-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |