| NPI | 1194991372 |
|---|---|
| Doing Business As | TOWN CENTER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LOVE LESS VP Of Operations 904-998-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL DN15716) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: FL DN15716) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2015-01-26 |