NPI | 1255225603 |
---|---|
Doing Business As | EDGE FAMILY DENTAL P.A |
Doing Business As | PGA SMILES |
Entity Type | Organization |
Authorized Contact | AARON EDGE Co Owner 850-324-5713 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-06-09 |
Last Update Date | 2025-06-16 |