| NPI | 1003992488 |
|---|---|
| Doing Business As | FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHARON DOUGHTY Receptionist 772-335-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 10226) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN16022) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |