| NPI | 1093051344 |
|---|---|
| Doing Business As | MIRAMAR BEACH DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DANIELLE S DAUGHERTY Practice Administrator 850-650-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 17784) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2015-06-30 |