| NPI | 1275589111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PEARSON President 904-272-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN6256) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-05-12 |