| NPI | 1245009687 |
|---|---|
| Doing Business As | WHITE PALM DENTAL |
| Entity Type | Organization |
| Authorized Contact | LANCE SCOTT MCGAVIN Owner 321-473-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |