| NPI | 1083945984 |
|---|---|
| Doing Business As | PALM COAST FAMILY DENTISTRY & MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PARMINDER S MAHAL Vice President 386-445-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN16698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME101528) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2014-04-04 |