| NPI | 1003839325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK FRANKLIN BROWN President 321-259-9429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN8667) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |