| NPI | 1033371174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GLEEN HART Dmd 850-944-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13084) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |