| NPI | 1003005299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L. SMITHA President 904-725-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN 5802) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |