| NPI | 1043903842 |
|---|---|
| Doing Business As | GREENLEAF DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAIME THONY Owner Dentist 850-459-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-07-01 |