| NPI | 1063434074 |
|---|---|
| Doing Business As | FAMILY MEDICAL & DENTAL CENTERS |
| Entity Type | Organization |
| Authorized Contact | P DEWAYNE YATES Chief Executive Officer 386-328-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-08-16 |