| NPI | 1255567715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M LYONS Endodontist 850-696-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL 15043) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL 14371) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |