| NPI | 1164556676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER JUDE BRITO Dentist 904-249-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN14717) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |