| NPI | 1174891121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G BARSAMIAN Dmd Owner 904-246-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN0008661) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2012-04-16 |