| NPI | 1114622701 |
|---|---|
| Doing Business As | MANTOOTH, HIGGINS & WHITE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARCUS HIGGINS Denitst 904-881-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |