NPI | 1104340991 |
---|---|
Doing Business As | DENTAL SPECIALISTS OF NORTH FLORIDA |
Entity Type | Organization |
Authorized Contact | JOHN W THOUSAND Owner 386-986-1000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN201628) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2022-07-21 |