| NPI | 1013037191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GERARD CHIAFAIR Owner Dentist 904-739-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL AC9558442) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2014-08-19 |