| NPI | 1063973410 |
|---|---|
| Doing Business As | DENTL IMPLANT SPECIALTY STUDIO |
| Entity Type | Organization |
| Authorized Contact | ALAN FARRUGIA Owner 850-450-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |