| NPI | 1194831230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN AMATRUDI President 904-230-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13430) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |