| NPI | 1043576150 |
|---|---|
| Doing Business As | BARTRAM DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON DEAN LEWIS Owner/Dentist 904-201-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL DN16561) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-05-30 |