| NPI | 1194815357 |
|---|---|
| Doing Business As | THE CENTER FOR DENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ROBERT S SOUD President 904-273-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 4171) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |