| NPI | 1235522103 |
|---|---|
| Doing Business As | PALM COAST FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAYRAJ J PATEL Mgr 813-842-5837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-05-06 |