| NPI | 1144410853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A VARGHESE President 904-553-8791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16471) |
| Enumeration Date | 2007-07-29 |
| Last Update Date | 2007-07-29 |