| NPI | 1023217700 |
|---|---|
| Doing Business As | PARKWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TANYA LIVINGSTON Office Manager 863-607-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2009-10-14 |