| NPI | 1003249467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN TOMAN Dentist 904-249-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16225) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |