| NPI | 1255470936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGERICO M SAYOC President Dentist 904-221-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN10831) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-06-13 |