NPI | 1225278989 |
---|---|
Doing Business As | SUNLAND COX MEDICAL SERVICES - DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | TRACY L CLEMMONS Superintendent 850-482-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X (Licence: FL 261QH0100X) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2009-02-20 |