| NPI | 1982907986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY GORBATOV Owner 954-457-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn15160) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |