| NPI | 1235291873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON A MAGOS President 904-384-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN5214) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-04-17 |