| NPI | 1992093264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWELL ANDREW GOLDBERG Owner 954-472-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 9212) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-11-08 |