| NPI | 1982775458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D QUASHA Director 561-799-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16005) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-04-20 |