| NPI | 1184047888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TOD GARNER President 904-751-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN9611) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2018-04-26 |