| NPI | 1043328024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL B WALDMAN Dentist/President 850-383-1052 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 0010851) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-04-18 |