| NPI | 1194992685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R MCLAUGHLIN Manager 386-672-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN5806) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |