| NPI | 1215246467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD EDWARDS Dr. 772-567-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN7683) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2013-09-16 |